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1 Patients first site of discharge after acute care hospital stay Patients use of site during a 90 day episode SHORT-TERM ACUTE CARE HOSPITALS Patients.

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Presentation on theme: "1 Patients first site of discharge after acute care hospital stay Patients use of site during a 90 day episode SHORT-TERM ACUTE CARE HOSPITALS Patients."— Presentation transcript:

1 1 Patients first site of discharge after acute care hospital stay Patients use of site during a 90 day episode SHORT-TERM ACUTE CARE HOSPITALS Patients Discharged to Post-Acute Care Intensity of Service LONG-TERM ACUTE CARE HOSPITALS Lower Higher INPATIENT REHAB SKILLED NURSING FACILITIES OUTPATIENT REHAB HOME HEALTH CARE 37%2%10% 11% 41% 52% 9% 21%2%61% * Source: RTI, 2009: Examining Post Acute Care Relationships in an Integrated Hospital System 35% of Medicare beneficiaries discharged from short-term acute hospitals receive post-acute care Medicare Patients Use of Post-Acute Services Throughout an Episode of Care *

2 2 Multiple Post-Acute Care Settings 2 ND POST- ACUTE SETTING 3 RD POST- ACUTE SETTING MANAGED CARE PAYORS with CASE MANAGEMENT Admit Care Discharge Admit Care Discharge Admit Care Discharge SHORT-TERM ACUTE CARE HOSPITALS PHYSICIANS (PRIMARY CARE AND ATTENDINGS) 1 ST POST- ACUTE SETTING

3 3 Standard Care Summary (HL7 CCD) Enhances Care Coordination 1 ST POST- ACUTE SETTING 2 ND POST- ACUTE SETTING 3 RD POST- ACUTE SETTING MANAGED CARE PAYORS with CASE MANAGEMENT Admit Care Discharge Admit Care Discharge Admit Care Discharge SHORT-TERM ACUTE CARE HOSPITALS PHYSICIANS (PRIMARY CARE AND ATTENDINGS) Demographics Problem List Allergies Medications Procedures Results Care Summary HL7 CCD Demographics Problem List Allergies Medications Procedures Results Care Summary HL7 CCD Demographics Problem List Allergies Medications Procedures Results Care Summary HL7 CCD Demographics Problem List Allergies Medications Procedures Results Care Summary HL7 CCD

4 4 What is needed to fully coordinate care? 1 ST POST- ACUTE SETTING 2 ND POST- ACUTE SETTING 3 RD POST- ACUTE SETTING MANAGED CARE PAYORS with CASE MANAGEMENT Admit Care Discharge Admit Care Discharge Admit Care Discharge SHORT-TERM ACUTE CARE HOSPITALS PHYSICIANS (PRIMARY CARE AND ATTENDINGS) ????


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